SURANGANEE M DE LANEROLLE, MD, Neurology STONY BROOK, NY

Contact Information

SURANGANEE M DE LANEROLLE, MD

2500 NESCONSET HIGHWAY
STONYBROOK MEDICAL PARK BLDG 16A
STONY BROOK, NY 11790

Phone: 631-246-5454
Fax: 631-246-5902
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Neurology	2084N0400X	13	Physician/Neurology

Indicates primary specialty

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NPI Profile & details for SURANGANEE M DE LANEROLLE · (Female)

NPI #	`1144302977`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	10/20/2006
Last updated	11/08/2018 - About 8 years ago
Sole proprietor ¹	No
Identifiers	NY License # 152287 NY Medicaid 00894654 Other 4318339 AETNA Other 107738500 DEPT OF LABOR Other AH46028 MDNY Other CS733 OXFORD Other 130015641 RR MEDICARE Other CPNN WC Other M1522879 WC
Hospital affiliation(s)	ST CATHERINE OF SIENA HOSPITAL - (Acute Care) 50 ROUTE 25A SMITHTOWN, NY 11787

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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SURANGANEE M DE LANEROLLE, MD – NPI #1144302977Neurology

Contact Information

Specialty

Neurology

NPI Profile & details for SURANGANEE M DE LANEROLLE · (Female)

Reviews for SURANGANEE M DE LANEROLLE

SURANGANEE M DE LANEROLLE, MD – NPI #1144302977
Neurology